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1427224807
LARAINE ANNE PONELLA
NORTHPORT, NY
NPI
1427224807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 381589)
Enumeration Date
2008-05-05
Last Update Date
2008-05-05
Business Address
Miss LARAINE ANNE PONELLA RN
50 MILLAND DR
NORTHPORT, NY 11768-2835
Phone number: 631-754-5522
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Mailing Address
Miss LARAINE ANNE PONELLA RN
50 MILLAND DR
NORTHPORT, NY 11768-2835
Phone number: 631-754-5522
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